New Portal Site Form

Public Information
This information will be shared on our website, print and other platforms.
Please type the name as you wish it to be listed on our website.
e.g. The Peace Art Museum is the world's leading...
Host Institution Public Phone Number
Host Institution Public Phone Number
Portal Address
Portal Address
The exact address where the Portal will be located.
http://
e.g. Instagram, Facebook, Snapchat
Logistics Information
This is private information Shared_Studios will use to coordinate installation and operation of the Portal.
Technology Point of Contact
Technology Point of Contact
If applicable
Technology POC Number
Technology POC Number
Installation Point of Contact Name
Installation Point of Contact Name
Installation POC Number
Installation POC Number
Programming Information
This section is for non-public information. This is to help us coordinate better with you.
Please note the hours when you can potentially be open and closed.
Host Institution Mailing Address
Host Institution Mailing Address
If your mailing address is different from your Portal address, please list it here.
Portal Delivery Address
Portal Delivery Address
Programming Point of Contact Name
Programming Point of Contact Name
Programming POC #
Programming POC #
Programming Interests
What themes are you most keen on programming around?
Please put information in here that you want to know, such as special guests on your end, key dates, goals, and so forth.
Ideal Installation Date
Ideal Installation Date
Ideal De-Installation Date
Ideal De-Installation Date
If applicable
Portal Delivery Mechanism